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1316252414 NPI number — SANJAY AGARWAL PROFESSIONAL MEDICAL CORPORATION

NPI Number: 1316252414
Health Care Provider/Practitioner: SANJAY AGARWAL PROFESSIONAL MEDICAL CORPORATION

Information about “1316252414” NPI (SANJAY AGARWAL PROFESSIONAL MEDICAL CORPORATION) exists in 1316252414 in HTML format HTML  |  1316252414 in plain Text format TXT  |  1316252414 in PDF (Portable Document Format) PDF  |  1316252414 in an XML format XML  formats.

NPI Number : 1316252414 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316252414",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SANJAY AGARWAL PROFESSIONAL MEDICAL CORPORATION",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "995 MONTAGUE EXPY STE 218",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MILPITAS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95035-6885",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "408-942-0300",
    "MailingAddressFaxNumber": "408-890-7298",
    "FirstLinePracticeLocationAddress": "995 MONTAGUE EXPY STE 218",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MILPITAS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95035-6885",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "408-942-0300",
    "PracticeLocationAddressFaxNumber": "408-890-7298",
    "EnumerationDate": "08/12/2010",
    "LastUpdateDate": "04/14/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "AGARWAL",
    "AuthorizedOfficialFirstName": "SANJAY",
    "AuthorizedOfficialMiddleName": "KUMAR",
    "AuthorizedOfficialTitle": "CEO AND DIRECTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD, FCCP, FAASM",
    "AuthorizedOfficialTelephoneNumber": "408-942-0300",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "291U00000X",
          "TaxonomyName": "Clinical Medical Laboratory",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QS1200X",
          "TaxonomyName": "Sleep Disorder Diagnostic Clinic/Center",
          "LicenseNumber": "A104257",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QH0100X",
          "TaxonomyName": "Health Service Clinic/Center",
          "LicenseNumber": "A104257",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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